State Council joint prevention and control mechanism: research to determine a number of Chinese medicine agreement prescriptions suitable for the treatment of patients with new coronavirus infection

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According to the website of the National Health Commission, the State Council’s Joint Prevention and Control Mechanism Integrated Group recently issued a notice on the full application of traditional Chinese medicine tonics for the treatment of new coronavirus infections at the grassroots level in urban and rural areas. The specific notice is as follows.

Since the outbreak of the new crown epidemic, Chinese medicine has played an important role in medical treatment. Chinese medicine soup has rich raw materials, more varieties, simple process, strong applicability characteristics. According to the current characteristics of the new crown virus and the epidemic prevention and control situation, in order to further play the role of Chinese medicine in the treatment of new crown virus infection, expand the supply of medicines for the masses, to protect the lives and health of the people, the following work requirements are proposed for the full application of Chinese medicine tonics in urban and rural grassroots.

A. Determine the appropriate Chinese medicine formulas

Local health and health administrative departments, Chinese medicine authorities to organize experts, based on the characteristics of local Chinese medicine evidence of new coronavirus infection, clinical research results and practical experience of Chinese medicine in the diagnosis and treatment of new coronavirus, combined with climate, seasonal and population characteristics, research to determine a number of Chinese medicine agreement prescriptions suitable for the treatment of patients with new coronavirus infection, for the common symptoms of new coronavirus infection, classification proposed Chinese medicine treatment plan, such as antipyretic, antipyretic + cough and phlegm, antipyretic + sore throat, etc., covering special groups such as the elderly and children, and the composition of the prescription should be concise, effective and applicable to most of the population. According to the local reality and medicine habits, each place can make local (county, township, village) arrangements to identify and treat the evidence. The State Bureau of Traditional Chinese Medicine has developed an example of Chinese medicine agreement for the treatment of new coronavirus infection (see annex), for local reference.

Second, strengthen the use of Chinese medicine soup guidance

All places should adhere to the combination of Chinese and Western medicine, combined with the local reality and drug supply, the reasonable choice of Western medicine, Chinese medicine, Chinese medicine tonics. Play the role of secondary and tertiary Chinese medicine hospitals and general hospitals Chinese medicine department to strengthen the training and guidance on the use of Chinese medicine tonics in primary medical and health institutions, including the composition of the formula classification, the main efficacy, clinical use, observation of the effect, problem handling, etc. Further play the role of TCM halls in primary health care institutions, emphasizing evidence-based treatment, rational prescription selection, and guiding patients with new coronavirus infections in the correct use of Chinese medicine tonics. Strengthen the contact between family doctors and contracted service recipients, and under the guidance of herbalists in higher-level medical and health institutions, make follow-up visits to follow up the use of Chinese medicine tonics, understand changes in patients’ health conditions, optimize and adjust treatment plans when necessary, and ensure patients’ medication safety.

Third, to ensure the effective supply of relevant Chinese medicine tablets

The provincial joint prevention and control mechanism (leading group, command) should strengthen the unified command, local industry and information technology at all levels, agriculture and rural areas, civil affairs, business, health, market supervision, Chinese medicine, drug supervision and other departments to implement the main responsibility of the industry, strengthen regional coordination, do a good job of the relevant Chinese medicine beverage reserves deployment, the use of administrative, economic, legal and other means to guide the Chinese medicine beverage reasonable and orderly precision put. Prioritize the protection of the antipyretic and analgesic class, the cough class of western medicine and the shortage of supply of proprietary Chinese medicines. Strengthen the monitoring of the supply of raw materials, production and processing, market circulation, procurement and supply of Chinese herbal beverages for the treatment of new coronavirus infections, keep abreast of market production and stock, and increase the supply of key Chinese herbal beverages in the market. The company will also strengthen market supervision, crack down on hoarding, price gouging, counterfeiting and other illegal acts, maintain normal market order and keep market prices stable.

Fourth, do a good job in the orderly distribution of Chinese medicine tonics issued

All localities should keep abreast of the local market supply of drugs for the treatment of new coronavirus infections and crowd infections, to understand the needs of the masses for medicines, the organization of local medical and health institutions and a certain scale of Chinese medicine pharmaceutical enterprises decoction of Chinese medicine tonics. Township (street) and village (residence) committees should establish communication and contact mechanisms with primary health care institutions and related enterprises under their jurisdiction to assist in organizing the distribution and distribution of Chinese medicine tonics to improve the accessibility of medication to patients. Strengthen the care and concern for key groups such as the mobility impaired, the disabled, the mentally handicapped, the elderly, children, etc., as well as the personnel of elderly institutions and children’s welfare institutions, and send Chinese medicine tonics to the patients in need through the village (residence) committees, giving priority to guarantee their medication.

V. Carry out health promotion of Chinese medicine tonics

All places should actively and objectively publicize the role and efficacy of Chinese medicine tonics in the treatment of new coronavirus infection through various channels and forms such as official websites, news media, conferences and expert interviews to increase the public awareness rate. Medical and health institutions of all levels and types can introduce and promote the rational use of Chinese medicine tonics through expert consultation, health education lectures, setting up bulletin boards and distributing leaflets to improve the acceptance of the masses. We should strengthen the guidance of public opinion, respond to the public and social concerns in a timely manner, and create a good social atmosphere for the role of Chinese medicine to do a good job in the prevention and control of the new crown epidemic and medical services.

Sixth, strengthen organizational leadership

Joint prevention and control mechanism (leading group, command) at all levels should effectively play the role of coordination, organization and dispatch, propaganda and guidance, attach great importance to the current full application of Chinese medicine tonics in urban and rural communities to carry out the treatment of new coronavirus infection, fully understand the important role of Chinese medicine tonics in alleviating the symptoms of patients with new coronavirus infection, responding to the temporary structural contradiction between supply and demand of drugs, and reducing the pressure of medical institution visits. Implement government responsibilities, improve working mechanisms, strengthen departmental coordination and cooperation, refine working measures, and make every effort to protect the public with medicines and solve the problem of anti-epidemic rescue and treatment in China with a Chinese approach.

Examples of herbal protocols for the treatment of New Coronavirus infection

New Coronavirus infection with Omicron variant belongs to the category of “epidemic” in Chinese medicine, which is caused by “epidemic and hostile” qi, and the core disease mechanism is “epidemic and viral invasion”. According to the climatic characteristics of the north and the south, combined with the actual situation of the grassroots in urban and rural areas, the following herbal prescriptions have been formulated for patients infected with the new coronavirus.

I. General basic prescription

In the early stage of neo-coronavirus infection, the agreed prescription (Da Qing Long Tang combined with Wu Ling San) can be used: 9 grams of raw Ma Huang, 9 grams of Gui Zhi, 25 grams of raw gypsum, 10 grams of bitter almonds, 9 grams of licorice, 10 grams of jujube, 10 grams of ginger, 15 grams of Fu Ling, 9 grams of Pig Ling, 9 grams of Ze Di, 9 grams of Atractylodes Macrocephalae.

Second, northern region

For patients infected with New Coronavirus with fever and other symptoms, the protocol prescription (with the addition of Ge Gen Tang): 15g of Ge Gen, 10g of Ephedra, 20g of raw gypsum, 10g of Gui Zhi, 10g of Bai Shao, 10g of ginger, 10g of jujube, 15g of Radix Platycodon, 10g of licorice.

If headache and body pain are obvious, add Qiang Wu 10g, Bai Zhi 10g and Chuan Xiong 10g.

If sore throat is obvious, add 15g of Radix Eucommiae and 10g of Burdock.

If cough is obvious, add 10g of almond and 10g of loquat leaf as appropriate.

Third, Southern Region

For New Coronavirus infection with fever and other symptoms, the protocol prescription (plus or minus Yin Qiao San): 15g of honeysuckle, 15g of forsythia, 10g of almond, 10g of burdock, 10g of orris, 6g of licorice, 30g of kudzu, 10g of northern sage, 10g of mulberry leaf, 10g of patchouli.

If hyperthermia is greater than 38.5℃, add 30g of raw gypsum (decoction first).

If headache and body pain are obvious, add 15g of Radix Bupleurum and 10g of Scutellaria.

If sore throat is obvious, add 15g of Radix Aconiti and 10g of Radix et Rhizoma Ginseng.

If cough is obvious, add 5g of roasted ephedra and 15g of zhebe.

IV. Other Precautions

If nausea, vomiting, diarrhea and other gastrointestinal symptoms occur, add 6g of sandy nuts and 10g of mucuna pruriens as appropriate.
Method of administration: Decoction in water, 1 dose per day, 400ml per dose, divided into 2 to 4 doses. Reduce as appropriate for the elderly, children and the infirm.